A 36-YEAR-OLD WOMAN WITH COUGH, DYSPNEA AND PULMONARY INFILTRATION (WHAT IS YOUR DIAGNOSIS?)

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MANSOURI S.D.; RAHMANI L.; MAZHARI SH.; JAFAR LOU V.; BIKDELI B.; DOROUDINIA A.; PARSA T.

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Journal: TANAFFOS Year:2008 | Volume:7 | Issue:1 Page(s): 75-78

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Title

A 36-YEAR-OLD WOMAN WITH COUGH, DYSPNEA AND PULMONARY INFILTRATION (WHAT IS YOUR DIAGNOSIS?)

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Abstract

A 36-year-old female was admitted with cough and dyspnea. There was no history of prior cardiopulmonary disorder two years before the admission when the symptoms began and the patient has had a progressively aggravating course since six months ago. Family history and social history were unremarkable. No history of smoking or drug use was present. She was married, with two children; she was a housewife and no evident risk factors for human immunodeficiency virus (HIV) infection were detectable. She was diagnosed with hypothyroidism 8 years ago for which she was receiving levothyroxin 0.2 mg/ day. The patient was afebrile with blood pressure of 120/70 mmHg, heart rate 90 bpm, and respiratory rate of 28 per minute. On admission, she was oxygen dependent. Oxygen saturation was 85% while receiving 3 lifers per minute of oxygen with nasal canula. Physical examination was unremarkable except for basilar fine crackles of both lungs. Complete blood cell count, erythrocyte sedimentation rate (ESR), biochemistry, electrolytes, liver and renal function tests all were in the normal limit. Arterial blood gas (ABG) while receiving 3liter/min nasal 02 demonstrated: pH: 7.38, PO2: 43, O2 saturation: 89, PC O2:37, HC O3: 26. Chest X-ray is shown in Figure 1. Echocardiographic study revealed normal left ventricular function, and enlargement of the right cardiac chambers. Pulmonary arterial pressure was estimated around 50 mmHg. Severe restrictive pattern was found in the pulmonary function test (Figure 2).A high-resolution computed tomography (HRCT) of the chest was performed (Figure 3).

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APA: Copy

MANSOURI, S.D., RAHMANI, L., MAZHARI, SH., JAFAR LOU, V., BIKDELI, B., DOROUDINIA, A., & PARSA, T.. (2008). A 36-YEAR-OLD WOMAN WITH COUGH, DYSPNEA AND PULMONARY INFILTRATION (WHAT IS YOUR DIAGNOSIS?). TANAFFOS, 7(1), 75-78. SID. https://sid.ir/paper/544041/en

Vancouver: Copy

MANSOURI S.D., RAHMANI L., MAZHARI SH., JAFAR LOU V., BIKDELI B., DOROUDINIA A., PARSA T.. A 36-YEAR-OLD WOMAN WITH COUGH, DYSPNEA AND PULMONARY INFILTRATION (WHAT IS YOUR DIAGNOSIS?). TANAFFOS[Internet]. 2008;7(1):75-78. Available from: https://sid.ir/paper/544041/en

IEEE: Copy

S.D. MANSOURI, L. RAHMANI, SH. MAZHARI, V. JAFAR LOU, B. BIKDELI, A. DOROUDINIA, and T. PARSA, “A 36-YEAR-OLD WOMAN WITH COUGH, DYSPNEA AND PULMONARY INFILTRATION (WHAT IS YOUR DIAGNOSIS?),” TANAFFOS, vol. 7, no. 1, pp. 75–78, 2008, [Online]. Available: https://sid.ir/paper/544041/en

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